Sensorimotor Integration Exercises on Post-stroke Balance and Fall Efficacy

Mahidol University46 enrolled

Overview

To study the effect of sensorimotor integration exercises on balance and fall efficacy in sub-acute stroke by performing 18 balance training exercises with three progressive steps.

Balance impairment after stroke is significantly correlated with fall risk. To improve balance and reduce fall efficacy, the participants in the study group will be trained by six weeks three progressive steps of sensorimotor integration exercises. Each exercise step will take 30 minutes of a practice session, three sessions per week. Conventional physiotherapy (passive and active exercises and lower extremities strengthening exercises) will be given to the control group. The changes in balance performance and fall efficacy will be measured and compared within and between groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Stroke

Interventions

sensory motor integration exercisesBEHAVIORAL

Sensorimotor integration exercises will be given in study group. The exercises will be performed in standing, sitting and walking. Exercises will be progressively increased from eye open to closed , floor to mat and head turns to right \& left under the supervision of physiotherapist. Sensorimotor integration exercises will take 45 minutes in each session.

conventional physiotherapyBEHAVIORAL

Conventional physiotherapy will take 30 minutes in each session, taking three sessions per weeks for six weeks. The exercises include simple lower extremity exercise and ambulatory training such as sit to stand, stepping, lateral and backward walking, and tandom walking etc.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * First episode of sub-acute stroke (from 1 to 26 weeks) referred from physicians * Both sexes * Age above 20 * Good cognition (Mini Mental State Examination Scale ≥24) * Moderate and moderately severe disability (Modified Rankin Scale- 3 and 4) * Impaired balance (BBS \<41) Exclusion Criteria: * Recurrent stroke * Associated with other neurological conditions (such as Parkinson's disease, Epilepsy, meningitis) * Deficits of somatic sensation involving the paretic limb (Fugl-Meyer Assessment - sesation\< 1) * Lower extremity weight bearing pain (Fugl-Meyer Assessment- pain \<1) * Low back pain (VAS ≥ 3) * Severe visual deficits which cannot be corrected by lens or glasses * Symptomatic vestibular disorders (Paroxysmal postural vertigo) * Associated serious cardiac disorder

Locations (2)

National Rehabilitation Hospital

Yangon, Burma

Physical Medicine and Rehabilitation Department, Yangon General Hospital

Yangon, Burma

Outcomes

Primary Outcomes

Berg Balance Scale (BBS)

14 items to measure static and dynamic balance

Time frame: 6 weeks

Secondary Outcomes

Functional Reach Test

To assess the stability by measuring the maximum distance while standing in a fixed position

Time frame: 6 weeks

Fall Efficacy Scale

Short, easy questionnaire that provides information about how much fear of fall, which is comprised of 16-items concerning confidence in maintaing balance during activities.

Time frame: 6 weeks

Data from ClinicalTrials.gov

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